CFD-Space-Request

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Please fill out the following information in order to request the use of the Center for Faculty Development (CFD) space - International Center 319 or the Active Learning Classroom - Elizabeth Harkins Hall 120 for your event. The CFD and Active Learning Classroom on the Hattiesburg campus at the University of Southern Mississippi can be reserved by faculty and staff of the institution. Most of the furniture in the spaces is modular to meet the needs of each event specifically, and presentation equipment is available to host your event in a hybrid format or to use for presenting materials as needed. The CFD will accommodate around 30 - 35 people depending on setup, and the Active Learning Classroom can hold up to 180 people.

Once the form has been submitted, someone from our office will follow up with you within two business days. Email CFD@usm.edu with any questions.

CFD & Active Learning Classroom Reservation Form

USM ID#*

Name*

First Name*

Last Name*

Email*

Phone Number*

College/Division of:*

Academic Affairs Arts & Sciences Business & Economic Development Education & Human Sciences Libraries Nursing & Health Professions Research Student Affairs

Other: Other Value

Program:

Department of/Office of:

Position:*

Faculty Staff Graduate Student

Other: Other Value

Start Date/Time Requested*

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Month

Day

Year

Hour

Minute

AM/PM

End Date/Time Requested

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Month

Day

Year

Hour

Minute

AM/PM

Which space are you requesting to use?

What type of event are you hosting?

Class Meeting Workshop Training

Other: Other Value

Number of Attendees*

Indicate any and all AV equipment needed for your event.*

Do you plan to have food and/or beverages at your event?*

Yes No Unsure

What other information should we know about your event?